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在加拿大北部的成年住院患者中使用抗菌药物,2019-2021年

Wallis Rudnick¹, Joëlle Cayen², Jessica J Bartoszko³

¹, PhD, is with the Public Health Agency of Canada, Ottawa, Ontario.

The Canadian journal of hospital pharmacy

|December 12, 2024

概括

加拿大北部医院的抗菌药物使用量从2019年到2021年增加了49%,主要是因为使用了黄素. 这些数据对于该地区的抗微生物药物管理计划至关重要.

科学领域:

公共卫生公共卫生
传染性疾病传染性疾病
药理学药理学是指药理学的学科.

背景情况:

关于加拿大北部住院患者使用抗微生物药物的数据有限,这阻碍了有效的管理.
加拿大北部被定义为领土和加拿大统计局的省北部.

研究的目的:

描述加拿大北部急性护理医院的住院患者的抗菌素使用模式.
为抗微生物管理倡议提供数据.

主要方法:

在2019-2021年期间,从42-47家医院收集了年度系统性抗微生物药物使用数据 (每1000个患者日定义的每日剂量).
使用了解剖治疗化学品 (ATC) 分类系统和世卫组织的AWaRe (访问/观察/储备) 分类.
包括成人或混合成人和儿科人口.

主要成果:

从2019年 (401 DDD/1000pd) 到2021年 (596 DDD/1000pd) 观察到,整体抗菌药物使用的相对增加为49%.
在第三代 (80%) 和第一代 (64%) 摄入类素时,使用量显著增加.
"储备"类别的抗微生物药物从总使用量的0.4%增加到2%.

结论:

这项研究为加拿大北部提供了迄今为止最广泛的住院抗菌药物使用数据.
抗菌药物消费的增加,特别是类类药物,需要注意管理工作.
由于区域差异,结果可能对所有北方医院的概括性有限.

关键词:

抗微生物药物的使用.医院医院医院医院医院监控监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督

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